Dit Profiel is het resultaat van de vergelijking tussen de zib2017 FHIR Profiel en de implementaties in Epic, Chipsoft, Topicus en Nexus. De elementen die in ieder geval in alle output beschikbaar zullen zijn. Voornamelijk bedoeld voor houvast van een client en voor validatie van output.

Zorginformatiebouwsteen

N.B. SOEPVerslag komt uit de Huisartsgegevensset en is een zib2020 en FHIR R4. Voor het deel dat wij gebruiken is deze volledig compatibel met zib2017 en STU3.

ZIB SOEPVerslag

View Definition

ViewDefinition voor EpisodeOfCare

UI Wireframe

Huisarts SOEP Verslagen

Kolomdefinities

Request

1. Opvragen (search) SOEP verslagen

   GET <ontsluiten-bronsysteem-base>/Composition?patient=<fhir_patient_id>&type=http://loinc.org|67781-5

Bronsysteem herkennen

De Zorgviewer-backend of Ontsluiten bronsysteem MOET na bevragen van het bronsysteem aan elk resultaat resource een meta-tag toevoegen met de AGB, OID of URA identifier van de zorgaanbieder (zie Organization voor voorbeelden). Dit wordt vervolgens gebruikt in de "Bron" kolom in de Zorgviewer-frontend. N.B. We gebruiken hier een pre-adopt van de FHIR R4 Meta.source.

Toevoegen aan elke response, dus per resource (bij een read) of per Bundle (bij een search):

"meta": {
    "extension": [ {
        "url": "http://hl7.org/fhir/4.0/StructureDefinition/extension-Meta.source",
        "valueUri": "urn:oid:2.16.840.1.113883.2.4.3.8"
    } ]
}

Alternatief: Elke entry van een search response Bundle bevat een referentie naar de bijbehorende Patient (<resource>.subject|patient). Elke patient heeft een Patient.managingOrganization en in de gerefereerde Organization.identifier staat vervolgens o.a. de OID van het bronsysyeem. Of je gebruikt de identifiers om een volledige Organization op te zoeken in het adresboek en zie inhoud hier.

Changes since version 1.23.0:

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	gp EncounterReport	A set of resources composed into a single coherent clinical statement with clinical attestation
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	Σ	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: FHIR Document Type Codes (preferred): Type of a composition.
subject	Σ	1..1	Reference(Resource)	Who and/or what the composition is about
encounter	Σ	1..1	Reference(gp-Encounter | HCIM Encounter)	Context of the Composition
date	SΣ	1..1	dateTime	Composition editing time
author	Σ	1..*	Reference(nl-core-practitioner | HCIM MedicalDevice Product | nl-core-patient | nl-core-relatedperson)	Who and/or what authored the composition
Slices for extension				Content/Rules for all slices
extension:practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference Constraints: ext-1
display	SΣ	0..1	string	Text alternative for the resource
title	SΣ	1..1	string	Human Readable name/title
confidentiality	?!Σ	0..1	code	As defined by affinity domain Binding: ConfidentialityClassification (required): Codes specifying the level of confidentiality of the composition.
section	C	0..*	BackboneElement	Composition is broken into sections Constraints: cmp-1, cmp-2
Slices for extension				Content/Rules for all slices
extension:code_icpc_1_nl		0..1	CodeableConcept	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/code-icpc-1-nl Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: JournaalregelType (required): Classification of a section of a composition/document.
text	SC	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode	?!Σ	0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Composition.status	Base	required	CompositionStatus	📦3.0.2	FHIR Std.
Composition.type	Base	preferred	FHIR Document Type Codes	📦3.0.2	FHIR Std.
Composition.confidentiality	Base	required	ConfidentialityClassification	📦2014-03-26	FHIR Std.
Composition.section.​code	Base	required	JournaalregelType	📦2011-10-12T00:00:00	Nictiz FHIR NL STU3 Zib2017 v2.3
Composition.section.​mode	Base	required	ListMode	📦3.0.2	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
cmp-1	error	Composition.section	A section must at least one of text, entries, or sub-sections	text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section	A section can only have an emptyReason if it is empty	emptyReason.empty() or entry.empty()
dom-1	error	Composition	If the resource is contained in another resource, it SHALL NOT contain any narrative	contained.text.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Composition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource	contained.where(('#'+id in %resource.descendants().reference).not()).empty()
dom-4	error	Composition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() | (children().count() > id.count())
ext-1	error	Composition.author.extension:practitionerRole, Composition.section.extension:code_icpc_1_nl	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from gp EncounterReport

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	gp EncounterReport	A set of resources composed into a single coherent clinical statement with clinical attestation
date	S	1..1	dateTime	Composition editing time
author
display	S	0..1	string	Text alternative for the resource
title	S	1..1	string	Human Readable name/title
section
code	S	1..1	CodeableConcept	Classification of section (recommended)
text	S	1..1	Narrative	Text summary of the section, for human interpretation
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	gp EncounterReport	A set of resources composed into a single coherent clinical statement with clinical attestation
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: Common Languages (extensible): A human language. Additional Bindings Purpose All Languages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..1	Identifier	Logical identifier of composition (version-independent)
status	?!Σ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	Σ	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: FHIR Document Type Codes (preferred): Type of a composition.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system Fixed Value: 67781-5
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
class	Σ	0..1	CodeableConcept	Categorization of Composition Binding: FHIR Document Class Codes (example): High-level kind of a clinical document at a macro level.
subject	Σ	1..1	Reference(Resource)	Who and/or what the composition is about
encounter	Σ	1..1	Reference(gp-Encounter | HCIM Encounter)	Context of the Composition
date	SΣ	1..1	dateTime	Composition editing time
author	Σ	1..*	Reference(nl-core-practitioner | HCIM MedicalDevice Product | nl-core-patient | nl-core-relatedperson)	Who and/or what authored the composition
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
extension:practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference Constraints: ext-1
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	SΣ	0..1	string	Text alternative for the resource
title	SΣ	1..1	string	Human Readable name/title
confidentiality	?!Σ	0..1	code	As defined by affinity domain Binding: ConfidentialityClassification (required): Codes specifying the level of confidentiality of the composition.
attester	Σ	0..*	BackboneElement	Attests to accuracy of composition
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
mode	Σ	1..*	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time	Σ	0..1	dateTime	When the composition was attested
party	Σ	0..1	Reference(nl-core-patient | nl-core-practitioner | nl-core-organization)	Who attested the composition
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
extension:practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference Constraints: ext-1
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
custodian	Σ	0..1	Reference(nl-core-organization)	Organization which maintains the composition
relatesTo	Σ	0..*	BackboneElement	Relationships to other compositions/documents
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
code	Σ	1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x]	Σ	1..1		Target of the relationship
targetIdentifier			Identifier
targetReference			Reference(Composition)
event	Σ	0..*	BackboneElement	The clinical service(s) being documented
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
code	Σ	0..*	CodeableConcept	Code(s) that apply to the event being documented Binding: ActCode (example): This list of codes represents the main clinical acts being documented.
period	Σ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	Reference(Resource)	The event(s) being documented
section	C	0..*	BackboneElement	Composition is broken into sections Constraints: cmp-1, cmp-2
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
extension:code_icpc_1_nl		0..1	CodeableConcept	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/code-icpc-1-nl Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: JournaalregelType (required): Classification of a section of a composition/document.
text	SC	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode	?!Σ	0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: List Order Codes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: List Empty Reasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Composition.language	Base	extensible	Common Languages	📦3.0.2	FHIR Std.
Composition.status	Base	required	CompositionStatus	📦3.0.2	FHIR Std.
Composition.type	Base	preferred	FHIR Document Type Codes	📦3.0.2	FHIR Std.
Composition.class	Base	example	FHIR Document Class Codes	📦3.0.2	FHIR Std.
Composition.confidentiality	Base	required	ConfidentialityClassification	📦2014-03-26	FHIR Std.
Composition.attester.​mode	Base	required	CompositionAttestationMode	📦3.0.2	FHIR Std.
Composition.relatesTo.​code	Base	required	DocumentRelationshipType	📦3.0.2	FHIR Std.
Composition.event.code	Base	example	v3 Code System ActCode	📦2016-11-11	FHIR Std.
Composition.section.​code	Base	required	JournaalregelType	📦2011-10-12T00:00:00	Nictiz FHIR NL STU3 Zib2017 v2.3
Composition.section.​mode	Base	required	ListMode	📦3.0.2	FHIR Std.
Composition.section.​orderedBy	Base	preferred	List Order Codes	📦3.0.2	FHIR Std.
Composition.section.​emptyReason	Base	preferred	List Empty Reasons	📦3.0.2	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
cmp-1	error	Composition.section	A section must at least one of text, entries, or sub-sections	text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section	A section can only have an emptyReason if it is empty	emptyReason.empty() or entry.empty()
dom-1	error	Composition	If the resource is contained in another resource, it SHALL NOT contain any narrative	contained.text.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Composition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource	contained.where(('#'+id in %resource.descendants().reference).not()).empty()
dom-4	error	Composition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() | (children().count() > id.count())
ext-1	error	Composition.author.extension:practitionerRole, Composition.attester.party.extension:practitionerRole, Composition.section.extension:code_icpc_1_nl	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	gp EncounterReport	A set of resources composed into a single coherent clinical statement with clinical attestation
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	Σ	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: FHIR Document Type Codes (preferred): Type of a composition.
subject	Σ	1..1	Reference(Resource)	Who and/or what the composition is about
encounter	Σ	1..1	Reference(gp-Encounter | HCIM Encounter)	Context of the Composition
date	SΣ	1..1	dateTime	Composition editing time
author	Σ	1..*	Reference(nl-core-practitioner | HCIM MedicalDevice Product | nl-core-patient | nl-core-relatedperson)	Who and/or what authored the composition
Slices for extension				Content/Rules for all slices
extension:practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference Constraints: ext-1
display	SΣ	0..1	string	Text alternative for the resource
title	SΣ	1..1	string	Human Readable name/title
confidentiality	?!Σ	0..1	code	As defined by affinity domain Binding: ConfidentialityClassification (required): Codes specifying the level of confidentiality of the composition.
section	C	0..*	BackboneElement	Composition is broken into sections Constraints: cmp-1, cmp-2
Slices for extension				Content/Rules for all slices
extension:code_icpc_1_nl		0..1	CodeableConcept	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/code-icpc-1-nl Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: JournaalregelType (required): Classification of a section of a composition/document.
text	SC	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode	?!Σ	0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Composition.status	Base	required	CompositionStatus	📦3.0.2	FHIR Std.
Composition.type	Base	preferred	FHIR Document Type Codes	📦3.0.2	FHIR Std.
Composition.confidentiality	Base	required	ConfidentialityClassification	📦2014-03-26	FHIR Std.
Composition.section.​code	Base	required	JournaalregelType	📦2011-10-12T00:00:00	Nictiz FHIR NL STU3 Zib2017 v2.3
Composition.section.​mode	Base	required	ListMode	📦3.0.2	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
cmp-1	error	Composition.section	A section must at least one of text, entries, or sub-sections	text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section	A section can only have an emptyReason if it is empty	emptyReason.empty() or entry.empty()
dom-1	error	Composition	If the resource is contained in another resource, it SHALL NOT contain any narrative	contained.text.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Composition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource	contained.where(('#'+id in %resource.descendants().reference).not()).empty()
dom-4	error	Composition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() | (children().count() > id.count())
ext-1	error	Composition.author.extension:practitionerRole, Composition.section.extension:code_icpc_1_nl	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Differential View

This structure is derived from gp EncounterReport

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	gp EncounterReport	A set of resources composed into a single coherent clinical statement with clinical attestation
date	S	1..1	dateTime	Composition editing time
author
display	S	0..1	string	Text alternative for the resource
title	S	1..1	string	Human Readable name/title
section
code	S	1..1	CodeableConcept	Classification of section (recommended)
text	S	1..1	Narrative	Text summary of the section, for human interpretation
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	gp EncounterReport	A set of resources composed into a single coherent clinical statement with clinical attestation
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: Common Languages (extensible): A human language. Additional Bindings Purpose All Languages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..1	Identifier	Logical identifier of composition (version-independent)
status	?!Σ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	Σ	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: FHIR Document Type Codes (preferred): Type of a composition.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system Fixed Value: 67781-5
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
class	Σ	0..1	CodeableConcept	Categorization of Composition Binding: FHIR Document Class Codes (example): High-level kind of a clinical document at a macro level.
subject	Σ	1..1	Reference(Resource)	Who and/or what the composition is about
encounter	Σ	1..1	Reference(gp-Encounter | HCIM Encounter)	Context of the Composition
date	SΣ	1..1	dateTime	Composition editing time
author	Σ	1..*	Reference(nl-core-practitioner | HCIM MedicalDevice Product | nl-core-patient | nl-core-relatedperson)	Who and/or what authored the composition
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
extension:practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference Constraints: ext-1
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	SΣ	0..1	string	Text alternative for the resource
title	SΣ	1..1	string	Human Readable name/title
confidentiality	?!Σ	0..1	code	As defined by affinity domain Binding: ConfidentialityClassification (required): Codes specifying the level of confidentiality of the composition.
attester	Σ	0..*	BackboneElement	Attests to accuracy of composition
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
mode	Σ	1..*	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time	Σ	0..1	dateTime	When the composition was attested
party	Σ	0..1	Reference(nl-core-patient | nl-core-practitioner | nl-core-organization)	Who attested the composition
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
extension:practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference Constraints: ext-1
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
custodian	Σ	0..1	Reference(nl-core-organization)	Organization which maintains the composition
relatesTo	Σ	0..*	BackboneElement	Relationships to other compositions/documents
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
code	Σ	1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x]	Σ	1..1		Target of the relationship
targetIdentifier			Identifier
targetReference			Reference(Composition)
event	Σ	0..*	BackboneElement	The clinical service(s) being documented
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
code	Σ	0..*	CodeableConcept	Code(s) that apply to the event being documented Binding: ActCode (example): This list of codes represents the main clinical acts being documented.
period	Σ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	Reference(Resource)	The event(s) being documented
section	C	0..*	BackboneElement	Composition is broken into sections Constraints: cmp-1, cmp-2
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
extension:code_icpc_1_nl		0..1	CodeableConcept	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/code-icpc-1-nl Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: JournaalregelType (required): Classification of a section of a composition/document.
text	SC	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode	?!Σ	0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: List Order Codes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: List Empty Reasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Composition.language	Base	extensible	Common Languages	📦3.0.2	FHIR Std.
Composition.status	Base	required	CompositionStatus	📦3.0.2	FHIR Std.
Composition.type	Base	preferred	FHIR Document Type Codes	📦3.0.2	FHIR Std.
Composition.class	Base	example	FHIR Document Class Codes	📦3.0.2	FHIR Std.
Composition.confidentiality	Base	required	ConfidentialityClassification	📦2014-03-26	FHIR Std.
Composition.attester.​mode	Base	required	CompositionAttestationMode	📦3.0.2	FHIR Std.
Composition.relatesTo.​code	Base	required	DocumentRelationshipType	📦3.0.2	FHIR Std.
Composition.event.code	Base	example	v3 Code System ActCode	📦2016-11-11	FHIR Std.
Composition.section.​code	Base	required	JournaalregelType	📦2011-10-12T00:00:00	Nictiz FHIR NL STU3 Zib2017 v2.3
Composition.section.​mode	Base	required	ListMode	📦3.0.2	FHIR Std.
Composition.section.​orderedBy	Base	preferred	List Order Codes	📦3.0.2	FHIR Std.
Composition.section.​emptyReason	Base	preferred	List Empty Reasons	📦3.0.2	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
cmp-1	error	Composition.section	A section must at least one of text, entries, or sub-sections	text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section	A section can only have an emptyReason if it is empty	emptyReason.empty() or entry.empty()
dom-1	error	Composition	If the resource is contained in another resource, it SHALL NOT contain any narrative	contained.text.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Composition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource	contained.where(('#'+id in %resource.descendants().reference).not()).empty()
dom-4	error	Composition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() | (children().count() > id.count())
ext-1	error	Composition.author.extension:practitionerRole, Composition.attester.party.extension:practitionerRole, Composition.section.extension:code_icpc_1_nl	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from gp EncounterReport

Summary

Must-Support: 5 elements